Cosby Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

COSBY ENDODONTICS

Doing business as

Grand Valley Endodontics

Practice address

2530 N 8TH St Ste 104
Grand Junction, CO 81501-8856

Phone

(970) 243-7392

NPI assigned

Jul 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Callee Clark, DDSNPI 1326278797

Title

Endodontist

Phone

(901) 679-7697

Specialties & licenses 1

Addresses

Other names 1

• Grand Valley Endodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Callee Cosby Clark, DDS

  • Endodontics
  • Grand Junction, CO
  • NPI 1326278797
  NPD Authorized official
• Brandon Astin, D.M.D.

  • Endodontics
  • Meridian, ID
  • NPI 1063870855
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1134809205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018856",
            "telephone_number": "970-243-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018856",
            "telephone_number": "970-243-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSBY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CALLEE",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "901-679-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Cordoue
• Abby Cordova
• Tiberiu Doru Corduban, M.D.
• Beverly Kay Cormier, MSW
• Sarah Cortez, M.D.
• Erin Caitlin Coscia
• Michael Costello, M.S., LAC
• Natasha Cote, LCSW
• Stephen W Cotlar, MD
• Caitlyn Ann Marie Cottrell, A.T.C

• Endodontics in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.